Heart Rate Variability During Physical Exercise. Heike Leutheuser, Bjoern Eskofier Pattern Recognition Lab (CS 5) Digital Sports Group

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Heart Rate Variability During Physical Exercise Heike Leutheuser, Bjoern Eskofier Pattern Recognition Lab (CS 5) Digital Sports Group 12.09.2012

Why Heart Rate Variability (HRV)? HRV is the existent oscillation of the heart rate RR interval = time between two heartbeats RR intervals [ms] 380 370 360 Tachogram 350 0 0.2 0.4 0.6 0.8 1 Time [min] HRV is an indicator for Fatigue Overtraining Hydration level 2 [1]

Motivation EM 2012 [2] Berlin Marathon [3] 3

Motivation How are HRV features changing during one hour of running? Evaluation with Analysis of Variance (ANOVA) Reveals significant differences of variables 4

Study Design 295 athletes* 98 female 176 male Age: 43 ± 11 years BMI: 23.1 ± 2.4 kg/m 2 [4] One hour outdoor run without distance or speed requirements * 27 athletes did not answer the questionaire with respect to gender, age and BMI 5

Study Design - Equipment Polar RS 800sd Watch, chest strap and shoe sensor Kinematic data (stride frequency, running speed) Physiological data (RR intervals, Heart Rate) [5] 6

Feature Extraction (1) Tachogram RR interval [ms] 800 1 2 3 4 5 6 7 8 9 10 11 12 13 600 400 200 0 10 20 30 40 50 60 Time [min] Time domain features Average heart rate Square root of the mean squared differences of successive RR intervals: RMSSD = N 1 (RR i+1 RR i ) 2 i=1 N 1 RR intervals [ms] 380 370 360 Tachogram Tachogram (zoomed in) 350 0 0.2 0.4 0.6 0.8 1 Time [min] 7

Feature Extraction (2) Frequency domain feature: LF/HF-ratio of normalized power spectral density (PSD) Low frequency (LF) component: 0.04 0.15 Hz High frequency (HF) component: 0.15 0.40 Hz Normalized PSD 0.8 Extract of PSD LF HF 0.6 0.4 0.2 0 0.1 0.2 0.3 0.4 0.5 Frequency [Hz] 8

Research Question HRV features: Heart Rate RMSSD LF/HF-ratio How are these three HRV features changing during one hour of running? Evaluation using Analysis of Variance 9

Background ANOVA ANOVA = Analysis of Variance Aim: Determines if significant differences between different groups of variables are existent Design: ANOVA with repeated measures Procedure: Calculation of F statistic Comparison of F-value to the critical value F C F C depends on degrees of freedom (df) (Error and Numerator) and significance level α 10

ANOVA with Repeated Measures In this study: Repeated Measures Analysis Univariate ANOVA with repeated measures Multivariate ANOVA with repeated measures Assumptions: Independence of observation Multivariate normality à Natural logarithm of RMSSD and LF/HF-ratio Sphericity (Circularity) à Only for univariate ANOVA; if violated: Greenhouse & Geisser correction 11

Results ANOVA F values Heart Rate ln(rmssd) ln(lf/hf) univariate 1452.1 108.6 294.7 mul6variate 796.6 91.8 126.5 Degrees of Freedom df Numerator df Error Cri6cal F- value p univariate 12 à 1 3528 à 294 10.83 < 0.001 mul6variate 12 283 2.74 < 0.001 Significant differences in the means of Heart Rate, RMSSD and LF/HF-ratio over distinct 5 minute sequences 12

Results Post-Hoc Procedure Determination of significant differences in the segments 1 2 3 4 5 6 segments 7 8 9 10 11 12 13 Heart.Rate ln(rmssd) ln(lf/hf) no.significant.differences No significant differences for all three parameters Starting in different segments Lasting up to the 12 th segment For RMSSD: no significant differences after the 2 nd segment à Indication of start and end of a workout 13

Summary Study 295 volunteers Task: one hour outdoor run Three HRV features: Heart Rate, RMSSD, LF/HF-ratio Evaluation with ANOVA with repeated measures How are these three HRV features changing during one hour of running? No significant differences for Heart Rate between 35 and 60 minutes RMSSD between 25 and 60 minutes LF/HF-ratio between 30 and 60 minutes 14

Outlook Consideration of additional HRV features and a different segment length New methods: Detrended Fluctuation Analysis Dynamic Invariants Stride frequency and running speed Differences between female and male 15

Thank you for your attention! Bavarian Ministry of Economic Affairs, Infrastructure, Transport and Technology

Quotations [1] http://www.laufszene-thueringen.de/berichte/2009/stundenlauf4-2 [2] http://www.bz-berlin.de/multimedia/archive/00366/gomez- tor_366209a.jpg [3] http://www.bz-berlin.de/aktuell/berlin/anmelder-rekord-beim- marathon-article462004-image1.html [4] www.adidas.com [5] http://polar.fitnessmegastore.co.uk/polar-297/running-299/polarrs400-running-heart-15041.htm 17